Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury

Spinal cord injury (SCI) is a severe disease of the nervous system that causes irreparable damage and loss of function, for which no effective treatments are available to date. Engineered extracellular vesicles (EVs) carrying therapeutic molecules hold promise as an alternative SCI therapy depending...

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Main Authors: Yuluo Rong, Zhuanghui Wang, Pengyu Tang, Jiaxing Wang, Chengyue Ji, Jie Chang, Yufeng Zhu, Wu Ye, Jianling Bai, Wei Liu, Guoyong Yin, Lipeng Yu, Xuhui Zhou, Weihua Cai
Format: Article
Language:English
Published: KeAi Communications Co., Ltd. 2023-05-01
Series:Bioactive Materials
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452199X22004753
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author Yuluo Rong
Zhuanghui Wang
Pengyu Tang
Jiaxing Wang
Chengyue Ji
Jie Chang
Yufeng Zhu
Wu Ye
Jianling Bai
Wei Liu
Guoyong Yin
Lipeng Yu
Xuhui Zhou
Weihua Cai
author_facet Yuluo Rong
Zhuanghui Wang
Pengyu Tang
Jiaxing Wang
Chengyue Ji
Jie Chang
Yufeng Zhu
Wu Ye
Jianling Bai
Wei Liu
Guoyong Yin
Lipeng Yu
Xuhui Zhou
Weihua Cai
author_sort Yuluo Rong
collection DOAJ
description Spinal cord injury (SCI) is a severe disease of the nervous system that causes irreparable damage and loss of function, for which no effective treatments are available to date. Engineered extracellular vesicles (EVs) carrying therapeutic molecules hold promise as an alternative SCI therapy depending on the specific functionalized EVs and the appropriate engineering strategy. In this study, we demonstrated the design of a drug delivery system of peptide CAQK-modified, siRNA-loaded EVs (C-EVs-siRNA) for SCI-targeted therapy. The peptide CAQK was anchored through a chemical modification to the membranes of EVs isolated from induced neural stem cells (iNSCs). CCL2-siRNA was then loaded into the EVs through electroporation. The modified EVs still maintained the basic properties of EVs and showed favorable targeting and therapeutic effects in vitro and in vivo. C-EVs-siRNA specifically delivered siRNA to the SCI region and was taken up by target cells. C-EVs-siRNA used the inherent anti-inflammatory and neuroreparative functions of iNSCs-derived EVs in synergy with the loaded siRNA, thus enhancing the therapeutic effect against SCI. The combination of targeted modified EVs and siRNA effectively regulated the microenvironmental disturbance after SCI, promoted the transformation of microglia/macrophages from M1 to M2 and limited the negative effects of the inflammatory response and neuronal injury on functional recovery in mice after SCI. Thus, engineered EVs are a potentially feasible and efficacious treatment for SCI, and may also be used to develop targeted treatments for other diseases.
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spelling doaj.art-fbfdf5bc8d454119bc9b1cd2763f9c7a2023-03-04T04:23:33ZengKeAi Communications Co., Ltd.Bioactive Materials2452-199X2023-05-0123328342Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injuryYuluo Rong0Zhuanghui Wang1Pengyu Tang2Jiaxing Wang3Chengyue Ji4Jie Chang5Yufeng Zhu6Wu Ye7Jianling Bai8Wei Liu9Guoyong Yin10Lipeng Yu11Xuhui Zhou12Weihua Cai13Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, ChinaDepartment of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China; Corresponding author. Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.Department of Orthopedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China; Corresponding author. Department of Orthopedics, Second Affiliated Hospital of Naval Medical University, Shanghai, 200003, China.Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China; Corresponding author. Department of Orthopedics, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, Jiangsu, China.Spinal cord injury (SCI) is a severe disease of the nervous system that causes irreparable damage and loss of function, for which no effective treatments are available to date. Engineered extracellular vesicles (EVs) carrying therapeutic molecules hold promise as an alternative SCI therapy depending on the specific functionalized EVs and the appropriate engineering strategy. In this study, we demonstrated the design of a drug delivery system of peptide CAQK-modified, siRNA-loaded EVs (C-EVs-siRNA) for SCI-targeted therapy. The peptide CAQK was anchored through a chemical modification to the membranes of EVs isolated from induced neural stem cells (iNSCs). CCL2-siRNA was then loaded into the EVs through electroporation. The modified EVs still maintained the basic properties of EVs and showed favorable targeting and therapeutic effects in vitro and in vivo. C-EVs-siRNA specifically delivered siRNA to the SCI region and was taken up by target cells. C-EVs-siRNA used the inherent anti-inflammatory and neuroreparative functions of iNSCs-derived EVs in synergy with the loaded siRNA, thus enhancing the therapeutic effect against SCI. The combination of targeted modified EVs and siRNA effectively regulated the microenvironmental disturbance after SCI, promoted the transformation of microglia/macrophages from M1 to M2 and limited the negative effects of the inflammatory response and neuronal injury on functional recovery in mice after SCI. Thus, engineered EVs are a potentially feasible and efficacious treatment for SCI, and may also be used to develop targeted treatments for other diseases.http://www.sciencedirect.com/science/article/pii/S2452199X22004753Extracellular vesiclesSpinal cord injurysiRNAMicroglia/macrophages polarizationInduced neural stem cells
spellingShingle Yuluo Rong
Zhuanghui Wang
Pengyu Tang
Jiaxing Wang
Chengyue Ji
Jie Chang
Yufeng Zhu
Wu Ye
Jianling Bai
Wei Liu
Guoyong Yin
Lipeng Yu
Xuhui Zhou
Weihua Cai
Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
Bioactive Materials
Extracellular vesicles
Spinal cord injury
siRNA
Microglia/macrophages polarization
Induced neural stem cells
title Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
title_full Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
title_fullStr Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
title_full_unstemmed Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
title_short Engineered extracellular vesicles for delivery of siRNA promoting targeted repair of traumatic spinal cord injury
title_sort engineered extracellular vesicles for delivery of sirna promoting targeted repair of traumatic spinal cord injury
topic Extracellular vesicles
Spinal cord injury
siRNA
Microglia/macrophages polarization
Induced neural stem cells
url http://www.sciencedirect.com/science/article/pii/S2452199X22004753
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